=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013863737
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WESTLAKE EYE CARE, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2026
-----------------------------------------------------
Last Update Date | 03/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4931 SEMINOLE PRATT WHITNEY RD SUITE 1300
-----------------------------------------------------
City | WESTLAKE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33470
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-349-5262
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6838 HATTERAS DR
-----------------------------------------------------
City | LAKE WORTH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33467-7936
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-212-1113
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPTOMETRIST
-----------------------------------------------------
Name | TUYET-SUONG PHAM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 571-212-1113
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------